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Comedo

What is a comedo?

A comedo (plural comedones) is plugged in follicular orifice.

  • Open comedones (blackheads) are gray, orange, brown, or black papules. The keratinous contents can be expressed or extracted.
  • Closed comedones (whiteheads) are non-inflamed, skin-colored papules. They must be pierced to remove their contents.

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Open comedones

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Closed comedones

What conditions are characterized by a comedo?

Lesions and skin conditions in which prominent comedones are present include:

  • Acneespecially common acne and comedonal acne
  • Hidradenitis suppurativa
  • Solar comedones (senile) and Favre Racouchot syndrome
  • Discoid lupus erythematosus
  • A seborrheic keratosis (best seen in dermoscopy)
  • A compound or dermal papillomatous melanocytic nevus or Mole (best seen in dermoscopy)
  • A new comedian
  • A epidermal cyst (giant eater)
  • A dilated pore of Winer
  • Dilated pores.

Comedones

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Comedonal acne

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Comedones in hidradenitis suppurativa

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solar comedones

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Discoid lupus erythematosus

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Dermatoscopy of seborrheic keratosis. The rectangles highlight the comedones.

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Papillomatous nevus

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Comedone naevus

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Giant comedo

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Multi-headed comedo cyst

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